Part II of this document must be signed before a Consular Officer or other authorized individual at the time the oath is sworn. PART II DS-5507 Page 3 of 5 (All applicants with a child/children born out of wedlock) Subscribed and sworn before me this day of,
If the parent in the interview has sole custody, an original or court certified copy of the custody order granting sole custody must be submitted with the application. □ Completed Form DS 5507, Affidavit of Parentage, Physical Presence and Support .
to: A/GIS/DIR, Room 2400, SA-22, U.S. Department of State, Washington, DC 20522-2202. PRIVACY ACT STATEMENT PAPERWORK REDUCTION ACT (PRA) STATEMENT Page 2 of 2 DS-2029
Sample on how to complete the lower portion of form DS-5507, which asks for all the times that you have been physically present abroad (anywhere outside the United States) since the day of your own birth.
Estimated Burden - 20 Minutes* DS-2029 APPLICATION FOR A CONSULAR REPORT OF BIRTH A Consular Report of Birth may be issued for any U.S. citizen child under age 18 who was born abroad and who acquired U.S. citizenship at birth.
If you have comments on the accuracy of this burden estimate and/or recommendations for reducing it, please send them to: A/GIS/DIR, Room 2400, SA-22, U.S. Department of State, Washington, DC 20522-2202. PRIVACY ACT STATEMENT PAPERWORK REDUCTION ACT (PRA) STATEMENT Page 2 of 2 DS-2029
You may send comments on our time estimate to: SSA, 1338 Annex Building, Baltimore, MD 21235-0001. Send only comments relating to our time estimate to this address, not the completed form. SSN (DS-2029) Page 4 of 4
Please list precise periods of physical presence in the United States. Continuation sheet for Form DS-2029, Line 12 From To mm/dd/yy mm/dd/yy-----Please list precise periods of physical presence in the United States.
Signature of Parent or Guardian Date (mm-dd-yyyy ) NOTARY SEAL DS-3053 02-2006 Page 1 of 2 OATH: I declare under penalty of perjury that all statements made in this supporting document are true and correct .
DS-3053 Page 2 of 2 FEDERAL TAX LAW: 26 U.S.C. 6039E (Internal Revenue Code) requires a passport applicant to provide his or her name and social security number.
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